Alan Griffin Ainsworth, RPH
Individual provider Active NPI Pharmacist · Granbury, TX
NPI 1801435813 · NPPES record last updated Dec 23, 2019
Key facts
- NPI
- 1801435813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27976 (TX)
- Practice address
- 1301 S Morgan St
Granbury, TX 76048-1987 - Phone
- (817) 279-9840
- Fax
- (817) 579-9731
- NPI assigned
- Dec 23, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27976 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27976 | TX | Yes |
Addresses
Primary practice location
1301 S Morgan St
Granbury, TX 76048-1987
Mailing address
13157 Hwy 271
Tyler, TX 75708-2453
Phone (903) 877-6823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750865842 | Other | TX | TAX ID NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rx094@brookshires.com | ||
| CONNECT URL | rx094@brookshires.com |
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.